Important: Therapy notes
MHRA advice: Non-steroidal anti-inflammatory drugs (NSAIDs): potential risks following prolonged use after 20 weeks of pregnancy (June 2023) (www.gov.uk).
- Abscesses and local necrosis at the injection site have been reported with diclofenac intramuscular injection. Always consider alternative routes of administration and follow manufacturers’ instructions for intramuscular administration with care.
Important: Formulation and dosage details
Formulation:
Suppositories 50mg, 100mg
Dosage:
Ureteric colic: by rectum, 50 to 100mg
Important: Formulation and dosage details
Formulation:
Injection 75mg/3mL
Dosage:
Ureteric colic: by deep intramuscular injection, 75mg then a further 75mg after 30 minutes if necessary. Administer intramuscular injections by deep intragluteal injection into the upper outer quadrant. If 2 injections daily are required, use the alternate buttock for the second injection. Alternatively, 1 ampoule of 75mg can be combined with other dosage forms of diclofenac (tablets or suppositories) up to the maximum daily dose of 150mg.